APPLICATION FOR CM CERTIFICATION

Size: px
Start display at page:

Download "APPLICATION FOR CM CERTIFICATION"

Transcription

1 Note: Only 1 method and 1 product sector per application form APPLICATION FOR CM CERTIFICATION IN ACCORDANCE WITH ISO18436( and related Standards) Personal Details: Full Name of Applicant: (Given Names) Title: Please use this address for correspondence (Family Name) Personal (Home) Address: City: State: Postcode: Country: Home Phone No: Employment Details: Company Name: Work Address: Personal Mobile Phone No: Please use this address for correspondence Job Title: City: State: Postcode: Country: Business Phone: Business Mobile No: Business Fax: Business Checklist to ensure complete application Use the check boxes to ensure you have included all of the following details: Note: Incomplete Applications will NOT be accepted. *Photograph Payment Eye Test (Thermograhy Only) Signed and dated application Signed code of Ethics Training Evidence of on-going experience (shall be verified by your referee) All applicants must submit a minimum of two detailed inspection reports for the method concerned Please note: * Please provide two recent identical color, passport quality photographs of yourself with your completed application form. If supplying a digital image it must be High Quality JPEG. I declare that; to the best of my knowledge the information supplied is true and correct. I Authorise AINDT to contact my employer in relation to this application. Signature of Applicant: OFFICE USE ONLY Personal Details entered: Invoice #: Initials: Received: Date Invoice: / / Payment: Ref Page 7 Document ID: CM201.FRM - Application for CM Certification L1,2&3 - Issue: 1 Rev: 1 July 2013 Page: 1

2 ISO18436 CM Method, Level, and Product Sector Select only one box below that corresponds to the CM Method / Level and sector you wish to apply for. Note: Only 1 method and 1 product sector per application form Product sector CM Method Level General Civil Mechanical Electrical Vibration Analysis (VA) 1 Lubrication Analysis (LA) 1 Thermography (IRT) 1 Vibration Analysis (VA) 2 Lubrication Analysis (LA) 2 Thermography (IRT) 2 Vibration Analysis (VA) 3 Lubrication Analysis (LA) 3 Thermography (IRT) 3 Vibration Analysis (VA) 4 Education, Training And Qualification Education: Please list all relevant education. Secondary School Year Completed College/ TAFE/University Year Completed Course(s) Completed CM Training: Total hours must meet the requirements of the Condition Monitoring Board Certification Board and in some instances these may exceed the minimum requirements of those specified in ISO18436 and its relevant parts. Training can include face-to-face training, home study, computer based training, distance learning programs, internet web-based training, e-learning and additional training on machine knowledge of at least half of that specified in the standard. All sources of training materials and details shall be provided with the application. If training is carried out by an approved training body or commercial organisation then the completion of training certificate shall also be provided. For mature applicants that have undertaken training prior to the introduction of certification for CM then they must verify that training and the CMCB has the discretion to take this training into account. Document ID: CM201.FRM - Application for CM Certification L1,2&3 - Issue: 1 Rev: 1 July 2013 Page: 2

3 Attach evidence of training for courses relevant to this application ONLY. (Must show training hours) Course Dates Training Provider Subject Name (Method) and Product/Industrial Sector Level Training Hours Total: Examination completed for current Application. (Attach copy of results) Date Completed Examining / Certifying Body CM Method/ Level / Industry Sector Certification No# List other CM Certifications Held Year Completed Examining Body NDT Method / Level / Industry Sector Certification # Please Note: As part of the application and to confirm Practical Competence applicants are required to submit a minimum of two inspection reports for review by the application committee. Document ID: CM201.FRM - Application for CM Certification L1,2&3 - Issue: 1 Rev: 1 July 2013 Page: 3

4 e and Sector - pro full details) Experience (In this CM method and sector-provide full details) Please include time spent on test method, types of parts, techniques,equipment used and the standards, codes and specifications involved Applicant Name: CM Method: Product/Industry Sector: Work Description (Eg: Data Acquisition) Products/parts Tested (Eg: H.P Rotor) Method of Test Codes & Standard Techniques/Equipment Used Experience Summary Date Range Of Experience: From: To: Average Hours(Per Week) of experience claimed for the period: Total Hours Claimed : *Nominal Working Hours are based on 35 hours per week Experience MUST be verified by your employer (if he/she has the required competence and knowledge of the method/sector sought and/or by your technical supervisor, client in the event that the applicant is self employed, or by a person considered competent by the CMCB to validate this information. I, The applicant declare that the above summary is true and correct for the method and sector sought. Experience MUST be verified by your Referee. Signature of Applicant: Signature of Referee: ADMINISTRATION USE Trainee Hours verified: Experience: Yes / No Total Months Required for Method: Total Months Required for this application: / 35 / 4 = Experience Verified? Initials: Document ID: CM201.FRM - Application for CM Certification L1,2&3 - Issue: 1 Rev: 1 July 2013 Page: 4

5 Statement By Referee It is a requirement for certification that the information supplied by the applicant is verified by a referee who has knowledge of the applicant s work activities in the NDT method and sector for which certification is being sought. The Board must be satisfied that the person attesting to this information is appropriately qualified to do so. The referee MUST also verify the applicant s experience by signing the experience statement. Full Name of Applicant: Employer: Referee Name: Referee Position: Referee Contact : Referee Relationship: Manager / Supervisor / Other: Referee NDT Certification Held: I, (referee name) declare that the above experience summary is true and correct. Signature of Referee: ADMINISTRATION USE ONLY Verified? Initials: Document ID: CM201.FRM - Application for CM Certification L1,2&3 - Issue: 1 Rev: 1 July 2013 Page: 5

6 Vision Test Note: Subsequent to certification, visual acuity shall be tested annually. The responsibility for this rests with the certified person and/or employer. Option 1 : Optometrist This is to verify that: (Name of Applicant) Meets the following criteria: Has had their colour perception eyesight tested in accordance with the Ishihara 24 plate test and is able to differentiate colours sufficiently to perform his duties in thermography. Note: Failure of the Ishihara plate test may require IRT personnel to use a monochrome palette and the applicant must provide this information when submitting as application for Renewal of Certification. Evidence of annual colour perception eye tests shall be verified by the employer or verifying authority (optometrist) This certificate must be signed and stamped by the verifying authority (eg: Optometrist) Name of Verifying Authority: (Please PRINT): Signed by Verifying Authority: Stamp/Seal of Verifying Authority: Please place stamp/seal or Other identifying mark here: Option 2 : In-house Procedures Alternative vision test methods, no less stringent than the above, may be acceptable to the AINDT provided a formal written test procedure is submitted with the application, or currently held by AINDT. Formal Written test procedure is attached: Yes No Currently held by AINDT ADMINISTRATION USE ONLY Vision Test Certificate Verified? Initials: Document ID: CM201.FRM - Application for CM Certification L1,2&3 - Issue: 1 Rev: 1 July 2013 Page: 6

7 Fees Payment Details Refer to the current schedule of fees, available from the Institute s web site or by contacting the Federal Office by phone (03) or Use this section to calculate the fee payable Fee Application Fee For NDT Certification $ Expedited Processing Of Certification $ Other (Please Include details) $ Purchase order #: Payment method: I enclose my cheque made payable to AINDT TOTAL: $ MasterCard VISA AMEX ( + 2% surcharge) *** EFT Direct Deposit Credit card #: Bank: Commonwealth BSB: Expiry date: / Account: Cardholder name: Invoicing/Receipt Details Invoice to be made to Applicant Company Other (Please Provide Details) The Application, when fully completed should be Printed and Signed where required. This form along with supporting attachments should be forwarded to: AINDT Federal Office, PO Box 52, Parkville, Vic 3052 Fax: Signature of Applicant: NOTE: INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED ADMINISTRATION USE ONLY Verified? Initials: Document ID: CM201.FRM - Application for CM Certification L1,2&3 - Issue: 1 Rev: 1 July 2013 Page: 7

8 CERTIFICATAIOIN NUMBER: Rules for AINDT/CM Discipline Committee Please DO NOT return this page with your application. Please retain this page for your records. In the event that complaints are made that an AINDT/CM certificated person or member has neglected to comply with our Code of Ethics or persistently and willfully acted in a manner prejudicial to the interests of AINDT or the Certification Board, these complaints are to be referred to the Discipline Committee. Complaints shall only be considered if received in writing. The Discipline Committee shall consist of the members of the Federal Executive who shall declare if any conflict of interests exists. On receiving such a complaint the Discipline Committee shall within 14 days: Review the complaint and consider if follow up action is warranted. If follow up is deemed warranted the Discipline Committee shall: Serve the complaint on the person concerned. Give the person at 14 least days notice from the date served by the Discipline Committee to respond to the complaints made. Consider any submissions made by the person in connection with the complaint. The Discipline Committee may, after considering the complaint and any submissions made, if the facts alleged have been proved, recommend to Federal Council that the persons Certification be withdrawn and if a member of AINDT/CM be expelled from the Institute. If Federal Council accepts the recommendation by the Discipline Committee, the Federal Secretary shall, within 7 days after notice of the Federal Council decision has been received, give written notice to the person detailing the reasons why, of action taken. The person should also be advised of his/her right of appeal. The withdrawal and expulsion or suspension does not take effect until the expiration of the period within which the person is entitled to appeal against the resolution made and the reasons for any appeal are reviewed. Appeal Procedure A person may appeal to the Institute against a resolution by Federal Council; within 7 days notice after the resolution has been served. The appeal is to be forwarded to the Federal Secretary. The appeal may, but need not, be accompanied by a statement of the grounds on which the person intends to rely for the purposes of the appeal. Upon receipt of the appeal the Federal Secretary shall notify Federal Council and convene a Special General Meeting of the Institute to be held within 28 days after the date the meeting was called. At the Special General Meeting called to review the appeal, no other business is to be transacted. The Discipline Committee and the person shall be given the opportunity to state their respective cases either in writing or orally, or both. The members present are to vote by secret ballot on the question of whether the decision to expel or suspend should be upheld or revoked. If at the Special General Meeting the Institute passes a special resolution in favor of the recommendation to withdraw the persons Certification and expel or suspend an AINDT member, the resolution is confirmed. At completion of the Special General Meeting, the Federal Secretary will notify the person within 7 days, of the decision made. Federal Council will decide how widely the decision to withdraw Certification and/or suspend or expel a member should be publicised. Please DO NOT return this page with your application. Please retain this page for your records. Document ID: CM201.FRM - Application for CM Certification L1,2&3 - Issue: 1 Rev: 1 July 2013 Page: 8

9 Federal Office Website: Code Of Ethics All Types of Membership or Grades and Certificate holders of the Institute shall abide by this Code of Ethics, in all matters relating to the Institute or when discharging their professional duties: Show responsibility for the welfare, health and safety of the community at all times, and for the laws and statutory regulations, and this responsibility shall come before their responsibility to their profession, to sectional or private interests or to other personnel. Act at all times to uphold the integrity and dignity of the industry. Accept professional obligations only for those areas of work for which they are competent. Accept responsibility for all work carried out by them or others under their supervision. Apply their skill and knowledge in the interests of their employer or client for whom they act as faithful agents or trustees. Provide professional advice, express opinions, or make statements in an objective and truthful manner to the best of their ability, and on the basis of adequate knowledge. Continue their professional development throughout their career and shall actively assist and encourage other personnel to advance their knowledge and experience. Not knowingly, use nor allow to be used, Institute proprietary information including logos and marks. Any member or certificate holder, reported to the Institute for alleged improper conduct may be required to appear before a Disciplinary Committee appointed for that purpose. Use of Certificates and Logos/Marks Certified persons shall Comply with the relevant provisions of the certification scheme. Make claims only with respect to the scope for which certification has been granted. Not use the certification in such manner as to bring the AINDT or the Certification Board into disrepute, and not make any statement regarding the certification which may be considered misleading or unauthorised. Discontinue the use of all claims to certification that contain any reference to the AINDT or the Certification Board or to certification upon suspension or withdrawal of certification, and return any certificates and/or I/D cards issued by the Certification Board. Not use the certificate or ID card in a misleading manner. I have read the AINDT Code of Ethics and Use of Certificates and Logos/Marks and agree to abide by this code and regulation and declare that the information supplied in this application is true and correct. Signature of Applicant: ADMINISTRATION USE ONLY Verified: Initials: Document ID: CM201.FRM - Application for CM Certification L1,2&3 - Issue: 1 Rev: 1 July 2013 Page: 9

EN 4179/NAS 410 Interpretation

EN 4179/NAS 410 Interpretation EN 4179/NAS 410 Interpretation The NANDTB has adopted NAS 410 / EN 4179 in lieu of AS 3669 as the standard for the qualification and approval of NDT technicians. Employers applying these standards sometimes

More information

IMPLEMENTATION DATE: 1 st OCTOBER 2015

IMPLEMENTATION DATE: 1 st OCTOBER 2015 PSL 57A: APPLICATION FOR INITIAL EXAMINATION WHEN COMPLETED, SUBMIT DIRECTLY TO THE PCN TEST CENTRE. DO NOT SEND TO BINDT Certification Services Division Newton Building NOTE: use PSL/57B for recertification,

More information

CONSTRUCTION MANAGER CERTIFICATION INSTITUTE. Renewal Handbook

CONSTRUCTION MANAGER CERTIFICATION INSTITUTE. Renewal Handbook CONSTRUCTION MANAGER CERTIFICATION INSTITUTE Renewal Handbook CCM RENEWAL HANDBOOK Purpose Recertification is an integral part of the (CCM) program. Continuing education offers the practicing CM professional

More information

IMPLEMENTATION DATE 1 st OCTOBER 2015

IMPLEMENTATION DATE 1 st OCTOBER 2015 PSL 57B ISSUE 7 APPLICATION FOR RECERTIFICATION OR SUPPLEMENTARY EXAMINATION, OR A RETEST OF A PREVIOUSLY FAILED EXAMINATION Certification Services Division Newton Building St George s Avenue Northampton

More information

www.portsmouth.gov.uk Part 3D - Officers' Employment Procedure Rules 1

www.portsmouth.gov.uk Part 3D - Officers' Employment Procedure Rules 1 Part 3D - Officers' Employment Procedure Rules 1 These rules determine procedures to be followed in the recruitment of senior officers of the council and in any disciplinary action which may become necessary

More information

APPLICATION FOR A LICENCE Security & Related Activities (Control) Act 1996

APPLICATION FOR A LICENCE Security & Related Activities (Control) Act 1996 WESTERN AUSTRALIA POLICE APPLICATION FOR A LICENCE Security & Related Activities (Control) Act 1996 Instructions to applicants follow all of these steps to complete your application You must carefully

More information

THE MALAYSIAN INSTITUTE OF CHARTERED SECRETARIES AND ADMINISTRATORS MAICSA PRACTISING CERTIFICATE SCHEME AND REGULATIONS

THE MALAYSIAN INSTITUTE OF CHARTERED SECRETARIES AND ADMINISTRATORS MAICSA PRACTISING CERTIFICATE SCHEME AND REGULATIONS THE MALAYSIAN INSTITUTE OF CHARTERED SECRETARIES AND ADMINISTRATORS MAICSA PRACTISING CERTIFICATE SCHEME AND REGULATIONS A. INTRODUCTION MAICSA recognises the need to provide a Public Practice Scheme that

More information

Form 11 Application for electrical work licence/permit (other than apprentice)

Form 11 Application for electrical work licence/permit (other than apprentice) Electrical Safety Office Form 11 Application for electrical work licence/permit (other than apprentice) V15.06-2014 Electrical Safety Act 2002 If you are applying for an additional electrical work training

More information

Form 18 Application for a Queensland electrical contractor licence

Form 18 Application for a Queensland electrical contractor licence Electrical Safety Office Form 18 Application for a Queensland electrical contractor licence V17.06-2014 Electrical Safety Act 2002 INSTRUCTIONS: Read the guidelines when completing this application form.

More information

PART 1: Relations with Colleagues, Clients, Employers and. Code of Ethics

PART 1: Relations with Colleagues, Clients, Employers and. Code of Ethics PART 1: Relations with Colleagues, Clients, Employers and Code of Ethics INTRODUCTION CODE OF ETHICS Membership of The Institution of Engineers of Ireland (Engineers Ireland) gives you rights and privileges.

More information

Application for superannuation benefits temporary residents departing Australia permanently

Application for superannuation benefits temporary residents departing Australia permanently GPO Box 89 Melbourne Vic 3001 VicSuper Member Centre 1300 366 216 vicsuper.com.au Application for superannuation benefits temporary residents departing Australia permanently * Indicates that providing

More information

STATEMENT OF PURPOSES AND RULES FOR HORSHAM TABLE TENNIS ASSOCIATION INC.

STATEMENT OF PURPOSES AND RULES FOR HORSHAM TABLE TENNIS ASSOCIATION INC. STATEMENT OF PURPOSES AND RULES FOR HORSHAM TABLE TENNIS ASSOCIATION INC. REGISTERED NUMBER: A0009391S (Amended at Special General Meeting held at Maydale Pavilion, Horsham Showgrounds, 7.30 pm on Tuesday

More information

Certification Application

Certification Application Certification Application Please select the level of certification for which you are applying (only one may be chosen): Certified Texas School Business Specialist (CTSBS) Certified Texas School Business

More information

Application for a Revised Certificate of Authorization for a Health Profession Corporation

Application for a Revised Certificate of Authorization for a Health Profession Corporation Application for a Revised Certificate of Authorization for a Health Profession Corporation Instructions and Checklist Application forms for a Revised Certificate of Authorization for a Health Profession

More information

International Student Offer Acceptance form

International Student Offer Acceptance form International Student Offer Acceptance form Read these instructions carefully before you complete the acceptance form. This acceptance together with your letter of offer, forms your written agreement with

More information

Information for temporary residents departing Australia

Information for temporary residents departing Australia Information for temporary residents departing Australia MLC Superannuation What is a Departing Australia Superannuation Payment? The Departing Australia Superannuation Payment (DASP) is the payment of

More information

Application Form for Assessment of Senior Management Skills for Migration

Application Form for Assessment of Senior Management Skills for Migration Australian Institute of Management Application Form for Assessment of Senior Management Skills for Migration Please fully complete the form incomplete applications may be returned Provide the supporting

More information

Recognition of Prior Learning Application Diploma of Financial Services (Financial Planning) FNS50804 and RG 146

Recognition of Prior Learning Application Diploma of Financial Services (Financial Planning) FNS50804 and RG 146 Recognition of Prior Learning Application Diploma of Financial Services (Financial Planning) FNS50804 and RG 146 1. WHAT IS RECOGNITION OF PRIOR LEARNING (RPL)? RPL stands for recognition of prior learning.

More information

Application for a Certificate of Authorization for a Health Profession Corporation

Application for a Certificate of Authorization for a Health Profession Corporation Application for a Certificate of Authorization for a Health Profession Corporation Instructions and Checklist Application forms for a Certificate of Authorization for a Health Profession Corporation (

More information

APPLICATION FOR A LICENCE Security & Related Activities (Control) Act 1996

APPLICATION FOR A LICENCE Security & Related Activities (Control) Act 1996 Security & Related Activities (Control) Act 1996 Instructions to applicants follow all of these steps to complete your application You must carefully complete all sections and attach all required documents.

More information

REQUEST FOR WITHDRAWAL

REQUEST FOR WITHDRAWAL REQUEST FOR WITHDRAWAL If you need help For assistance call NGS Super Customer Service Team on 1300 133 177. Step 1. Complete your personal details Please print in black or blue pen, in uppercase, one

More information

Mutual Recognition. Who can apply? Build better.

Mutual Recognition. Who can apply? Build better. Build better. Mutual Recognition Mutual Recognition is a process whereby an individual who holds a licence in one state, territory or New Zealand is entitled to be licensed in another state, territory

More information

Application for registration Building contractor (company)

Application for registration Building contractor (company) Government of Western Australia Department of Commerce Application for registration Building contractor (company) Refer to the application guidelines for assistance in completing this application form.

More information

APPLICATION FOR. License Fee Only. Non- NZTA

APPLICATION FOR. License Fee Only. Non- NZTA C4:08-15 NEW ZEALAND THOROUGHBRED RACING INC PO Box 38386, WMC Telephone: (04) 576 6240 Facsimile: (04) 568 8866 Web: www.nzracing.co.nz Email: licensing@nzracing.co.nz APPLICATION FOR Non- NZTA License

More information

Swinburne University of Technology International Student Offer Acceptance Instruction Sheet: For the Northeastern Freshman Program

Swinburne University of Technology International Student Offer Acceptance Instruction Sheet: For the Northeastern Freshman Program Swinburne University of Technology International Student Offer Acceptance Instruction Sheet: For the Northeastern Freshman Program Please note the following instructions when completing the International

More information

National Home Inspector Certification Council. Policy & Procedures Manual

National Home Inspector Certification Council. Policy & Procedures Manual National Home Inspector Certification Council Policy & Procedures Manual INTRODUCTION The National Home Inspector Certification Council (NHICC) accreditation is an objective and reliable verification.

More information

ARCHITECTS BOARD OF WESTERN AUSTRALIA

ARCHITECTS BOARD OF WESTERN AUSTRALIA ARCHITECTS BOARD OF WESTERN AUSTRALIA Application for Registration in Western Australia under Mutual Recognition Form 02 3 August 2015 Use of this Form This form is to be used by people wishing to apply

More information

Application for Admission to QUT as an International Student in a Research Program

Application for Admission to QUT as an International Student in a Research Program Queensland University of Technology Student Business Services Victoria Park Road Kelvin Grove Q 4059 Phone +61 7 3138 2000 Fax +61 7 3138 3529 www.international.qut.edu.au CRICOS No. 00213J ABN: 83 791

More information

Application for Business Support Membership

Application for Business Support Membership Business Support Member Application for Business Support Membership Irish Franchise Association Business Support Services An additional category of membership for companies providing dedicated business

More information

! of! [ ]! (adopted on [ ])

! of! [ ]! (adopted on [ ]) CONTENTS CONSTITUTION of [ ] (adopted on [ ]) 3 This Version 3 Objectives 3 Powers 3 General structure 4 Qualifications for membership 4 Application for membership 4 Membership subscription 4 Register

More information

CHECKLIST ISO/IEC 17021:2011 Conformity Assessment Requirements for Bodies Providing Audit and Certification of Management Systems

CHECKLIST ISO/IEC 17021:2011 Conformity Assessment Requirements for Bodies Providing Audit and Certification of Management Systems Date(s) of Evaluation: CHECKLIST ISO/IEC 17021:2011 Conformity Assessment Requirements for Bodies Providing Audit and Certification of Management Systems Assessor(s) & Observer(s): Organization: Area/Field

More information

The Court of Protection Rules 2007

The Court of Protection Rules 2007 STATUTORY INSTRUMENTS 2007 No. 1744 (L. 12) MENTAL CAPACITY, ENGLAND AND WALES The Court of Protection Rules 2007 Made - - - - - 25th June 2007 Laid before Parliament 4th July 2007 Coming into force -

More information

CERTIFICATION PROGRAM

CERTIFICATION PROGRAM CERTIFICATION PROGRAM The Aquatics Operations Certification Program is designed to confirm the knowledge of individuals working in the aquatics operations field within the amusement industry. Certification

More information

Licence Application Form COMPANY

Licence Application Form COMPANY Licence Application Form COMPANY Completing this form Use BLACK pen only Print clearly in BLOCK LETTERS DO T use correction fluid any amendments should be crossed out and initialled 1. COMPANY DETAILS

More information

Constitution of The Society of Financial Planners Ireland

Constitution of The Society of Financial Planners Ireland Constitution of The Society of Financial Planners Ireland Contents : 1. Name 2. Aims and Objectives 3. Membership 4. Subscriptions and Finance 5. Fundraising 6. Society Committees 7. Voting in elections

More information

Form 20 Application for additional/change of qualified person for a contractor licence

Form 20 Application for additional/change of qualified person for a contractor licence Department of Justice and Attorney-General Electrical Safety Office Form 20 Application for additional/change of qualified person for a contractor licence V12.06-2014 Electrical Safety Act 2002 INSTRUCTIONS:

More information

Renewal of registration Building surveying contractor (individual) Form 63

Renewal of registration Building surveying contractor (individual) Form 63 Government of Western Australia Department of Commerce Renewal of registration Building surveying contractor (individual) Form 63 Use of this form This form is to be used by building surveyors who are

More information

ARTICLES OF MANAGEMENT FOR CATHOLIC SECONDARY SCHOOLS

ARTICLES OF MANAGEMENT FOR CATHOLIC SECONDARY SCHOOLS ARTICLES OF MANAGEMENT FOR CATHOLIC SECONDARY SCHOOLS BOM Manual Amended 2011 1 FOR CATHOLIC SECONDARY SCHOOLS 1. In these articles, unless the context otherwise requires, the following words or expressions

More information

APPLICATION FORM VET FEE HELP (VFH)

APPLICATION FORM VET FEE HELP (VFH) APPLICATION FORM VET FEE HELP (VFH) (AUSTRALIAN CITIZEN OR PERMANENT HUMANITARIAN VISA HOLDER RESIDING IN AUSTRALIA, MUST BE 18 YEARS OF AGE TO ENROL) PERSONAL DETAILS (PLEASE FILL USING CAPITAL LETTERS)

More information

VIRGIN ISLANDS INSOLVENCY PRACTITIONERS REGULATIONS, 2004 ARRANGEMENT OF REGULATIONS

VIRGIN ISLANDS INSOLVENCY PRACTITIONERS REGULATIONS, 2004 ARRANGEMENT OF REGULATIONS VIRGIN ISLANDS INSOLVENCY PRACTITIONERS REGULATIONS, 2004 ARRANGEMENT OF REGULATIONS Regulation 1. Citation. 2. Interpretation. 3. Application for licence. 4. Approval of application for licence. 5. Licence

More information

ASSOCIATION REGISTERED NUMBER A0025255A

ASSOCIATION REGISTERED NUMBER A0025255A Foster Care Association of Victoria Inc ASSOCIATION RULES October 2014 ASSOCIATION REGISTERED NUMBER A0025255A Page 1 ABN 30 747 010 099 Regulation TABLE OF PROVISIONS Page PART 1 PRELIMINARY 5 1 Name

More information

Certification Application for the Certification of NDT Personnel Acc. to DIN EN ISO 9712

Certification Application for the Certification of NDT Personnel Acc. to DIN EN ISO 9712 for NDT-Personnel Certification Application for the Certification of NDT Personnel Acc. to DIN EN ISO 9712 A. Details of candidate / person to be certified Name...... surname, first name title Address......

More information

Procedure for approving intermediaries under the Debt Relief Order scheme

Procedure for approving intermediaries under the Debt Relief Order scheme Procedure for approving intermediaries under the Debt Relief Order scheme Introduction AdviceUK has been been notified by Insolvency Service that it has been designated by the Secretary of State as a Competent

More information

THE ASSOCIATION OF CHARTERED CERTIFIED FORENSIC ACCOUNTANTS

THE ASSOCIATION OF CHARTERED CERTIFIED FORENSIC ACCOUNTANTS THE ASSOCIATION OF CHARTERED CERTIFIED FORENSIC ACCOUNTANTS ACCFA BYLAWS Contents 1. NAME, OFFICE, CORPORATE STATUS AND MISSION & VISION... 3 2. PURPOSES... 3 3. MEMBERSHIP... 4 4. TERMINATION OF MEMBERSHIP...

More information

2016 CIA Examination Application Form For Australian Candidates only

2016 CIA Examination Application Form For Australian Candidates only 2016 CIA Examination Application Form For Australian Candidates only Personal Details Membership ID First Name Last Name Name as it appears on Photo ID Home Address Position Organisation Date of Birth

More information

APPLICATION FORM ASSESSMENT OF PSYCHOLOGY QUALIFICATIONS

APPLICATION FORM ASSESSMENT OF PSYCHOLOGY QUALIFICATIONS APPLICATION FORM ASSESSMENT OF PSYCHOLOGY QUALIFICATIONS REGISTRATION, EMPLOYMENT OR UNIVERSITY ENTRY This form is for the assessment of psychology qualifications for registration, employment or entry

More information

Scholarship application form

Scholarship application form King & Amy O Malley Trust PO Box 120, Camberwell, Vic 3124 Tel: (03) 9811 9904 Email: enquiries@omalleytrust.org.au Web: www.omalleytrust.org.au Scholarship application form 1. Use this form to make an

More information

STATUTORY INSTRUMENTS 2012 No. _

STATUTORY INSTRUMENTS 2012 No. _ STATUTORY INSTRUMENTS 2012 No. _ THE ELECTRONIC SIGNATURES REGULATIONS 2012 ARRANGEMENT OF REGULATIONS Regulation PART I-PRELIMINARY 1. Title. 2. Interpretation PART II - LICENSING AND RECOGNITION OF CERTIFICATION

More information

KENTUCKY COURT REPORTERS ASSOCIATION MEMBERSHIP APPLICATION (Rev. 8/18/10) (INCOMPLETE APPLICATIONS WILL BE RETURNED TO YOU)

KENTUCKY COURT REPORTERS ASSOCIATION MEMBERSHIP APPLICATION (Rev. 8/18/10) (INCOMPLETE APPLICATIONS WILL BE RETURNED TO YOU) KENTUCKY COURT REPORTERS ASSOCIATION MEMBERSHIP APPLICATION (Rev. 8/18/10) (INCOMPLETE APPLICATIONS WILL BE RETURNED TO YOU) A. IDENTIFYING INFORMATION Name DOB: Month Year Home Address: Home Phone: Fax

More information

LIV TRUST ACCOUNTING ONLINE SOFTWARE

LIV TRUST ACCOUNTING ONLINE SOFTWARE LIV TRUST ACCOUNTING ONLINE SOFTWARE APPLICATION FORM A simple cost-effective solution to enhance efficient practice management. Please complete the following 3 sections and return the form. The set-up

More information

NEWMAN UNIVERSITY DISCIPLINARY POLICY AND PROCEDURE

NEWMAN UNIVERSITY DISCIPLINARY POLICY AND PROCEDURE 1. Scope and Purpose NEWMAN UNIVERSITY DISCIPLINARY POLICY AND PROCEDURE 1.1 Newman University [hereafter referred to as the University] recognises disciplinary rules and procedures are necessary for the

More information

Queensland PLUMBING AND DRAINAGE ACT 2002

Queensland PLUMBING AND DRAINAGE ACT 2002 Queensland PLUMBING AND DRAINAGE ACT 2002 Act No. 77 of 2002 Queensland PLUMBING AND DRAINAGE ACT 2002 TABLE OF PROVISIONS Section Page PART 1 PRELIMINARY 1 Short title....................................................

More information

Initial Application for Enrolment Form: Domestic Students Diploma of Counselling CHC51712

Initial Application for Enrolment Form: Domestic Students Diploma of Counselling CHC51712 Initial Application for Enrolment Form: Domestic Students Diploma of Counselling CHC51712 Information and Support Applicants are encouraged to contact Student and Learning Services for support throughout

More information

APPLICATION FOR REGISTRATION AS A BUILDING PRACTITIONER CERTIFYING ENGINEER - INDIVIDUAL

APPLICATION FOR REGISTRATION AS A BUILDING PRACTITIONER CERTIFYING ENGINEER - INDIVIDUAL NORTHERN TERRITORY BUILDING PRACTITIONERS BOARD APPLICATION FOR REGISTRATION AS A BUILDING PRACTITIONER CERTIFYING ENGINEER - INDIVIDUAL SECTION 1 PERSONAL DETAILS FAMILY NAME (Surname) GIVEN NAME (First

More information

ONLINE POSTGRADUATE PROGRAMME APPLICATION FORM

ONLINE POSTGRADUATE PROGRAMME APPLICATION FORM ONLINE POSTGRADUATE PROGRAMME APPLICATION FORM Online Programmes are provided by London School of Business & Finance and InterActive and are validated by the International Telematic University Uninettuno

More information

30 Day Limited Permits for Professional Engineers and Land Surveyors

30 Day Limited Permits for Professional Engineers and Land Surveyors THE STATE EDUCATION DEPARTMENT / THE UNIVERSITY OF THE STATE OF NEW YORK / ALBANY, NY 12234 Office of the Professions, State Board for Engineering and Land Surveying PHONE: 518-474-3817 ext. 140 FAX: 518-473-6282

More information

Singapore Diamond Investment Exchange Pte Ltd SDiX Depository Pte Ltd Application for Membership -- Approved Supplier

Singapore Diamond Investment Exchange Pte Ltd SDiX Depository Pte Ltd Application for Membership -- Approved Supplier 1 Singapore Diamond Investment Exchange Pte Ltd SDiX Depository Pte Ltd Application for Membership -- Approved Supplier Explanatory Notes 1. This application form is for applicants who intend to apply

More information

STUDENT AGREEMENT. Dated: (insert) THE AGREEMENT

STUDENT AGREEMENT. Dated: (insert) THE AGREEMENT STUDENT AGREEMENT Dated: (insert) THE AGREEMENT This agreement constitutes a binding contract between (Name of student) (The Student) and the Sydney Film School Pty Ltd ACN 106 693 190 (The School) trading

More information

THE RULES OF TAFE DIRECTORS AUSTRALIA INCORPORATED A.R.B.N. 600 687 330

THE RULES OF TAFE DIRECTORS AUSTRALIA INCORPORATED A.R.B.N. 600 687 330 THE RULES OF TAFE DIRECTORS AUSTRALIA INCORPORATED A.R.B.N. 600 687 330 As approved at TDA Annual General Meeting 22 May 2015 1 PART I - PRELIMINARY 5 1.1 Interpretation 5 1.2 Legislative Provisions 5

More information

Registration Building surveying contractor (company) Form 38

Registration Building surveying contractor (company) Form 38 Government of Western Australia Department of Commerce Registration Building surveying contractor (company) Form 38 Use of this form This form is to be used by unincorporated bodies, body corporate and

More information

Standard Conditions for Recruitment Services

Standard Conditions for Recruitment Services Standard Terms & Conditions for Temporary Workers TC7MPSC Effective from 06.03.2012 Page 1/6 Temporary Workers are engaged by Michael Page International Recruitment Limited (including Michael Page International

More information

APPLICATION FOR NATIONAL EXAMINATION IN MARITAL & FAMILY THERAPY

APPLICATION FOR NATIONAL EXAMINATION IN MARITAL & FAMILY THERAPY Minnesota Board of Marriage and Family Therapy 2829 University Avenue SE, Suite 400 Minneapolis, MN 55414-3222 Telephone: (612) 617-2220 Fax: (612) 617-2221 Email: mft.board@state.mn.us Website: www.bmft.state.mn.us

More information

2014 Scholarship Conditions of Award (last updated: 21 October 2013)

2014 Scholarship Conditions of Award (last updated: 21 October 2013) 2014 Scholarship Conditions of Award (last updated: 21 October 2013) The PhD Scholarship: Wealth from Waste CSIRO research cluster 1 Eligibility 1.1 General The PhD scholarship: Wealth from Waste CSIRO

More information

Management System for Certification of LCA Professionals

Management System for Certification of LCA Professionals Management System for Certification of LCA Professionals 1. Preamble 1.1. This document describes how the American Center for Life Cycle Assessment (ACLCA) and its parent, the Institute for Environmental

More information

THE CERTIFIED IT PROJECT MANAGER PROGRAMME (CITPM)

THE CERTIFIED IT PROJECT MANAGER PROGRAMME (CITPM) THE CERTIFIED IT PROJECT MANAGER PROGRAMME (CITPM) GUIDELINES ON RE-CERTIFICATION AND THE PROFESSIONAL LOG FOR CITPM (ASSOCIATE), CITPM AND CITPM (SENIOR) 1. INTRODUCTION Certified IT Project Managers

More information

Generic Rules For Colleges. Post 2014 AGM

Generic Rules For Colleges. Post 2014 AGM Generic Rules For Colleges Post 2014 AGM GENERIC RULES TABLE OF CONTENTS Page No 1. PRELIMINARY... 1 2. ROLE... 2 3. PURPOSE AND OBJECTS... 2 4. PROCEDURES FOR FORMATION... 3 5. CRITERIA FOR FORMATION...

More information

Request to Increase Insurance Life Event

Request to Increase Insurance Life Event Request to Increase Insurance Life Event Accumulation Scheme (Division 5) members only Use this form to apply to increase your insurance cover when a specific life event has occurred. As an accumulation

More information

CERTIFIED DESIGN FIRM ADMINISTRATOR. APPLICATION FORM for the CDFA Examination

CERTIFIED DESIGN FIRM ADMINISTRATOR. APPLICATION FORM for the CDFA Examination CERTIFIED DESIGN FIRM ADMINISTRATOR APPLICATION FORM for the CDFA Examination Society for Design Administration CDFA Certification Program 8190-A Beechmont Avenue, #276 Cincinnati, OH 45255-6117 Telephone:

More information

FIRE PROTECTION INDUSTRY BOARD (ODS & SGG) Risk Management. Plan. Risk Management. Plan EXTINGUISHING AGENT TRADING AUTHORISATION AS/NZS 4360:2004

FIRE PROTECTION INDUSTRY BOARD (ODS & SGG) Risk Management. Plan. Risk Management. Plan EXTINGUISHING AGENT TRADING AUTHORISATION AS/NZS 4360:2004 FIRE PROTECTION ASSOCIATION AUSTRALIA FIRE PROTECTION INDUSTRY BOARD (ODS & SGG) Extinguishing Agent Trading Authorisation EXTINGUISHING AGENT TRADING AUTHORISATION Risk Management Plan AS/NZS 4360:2004

More information

Constitution. Women Lawyers Association of New South Wales Incorporated #Y02880-30

Constitution. Women Lawyers Association of New South Wales Incorporated #Y02880-30 Constitution Women Lawyers Association of New South Wales Incorporated #Y02880-30 20th November 2014 Contents 1 Objects of Association 1 1.1 Objects 1 2 Membership 1 2.1 Classes of Members 1 2.2 Ordinary

More information

Contact: ACT Health Nursing & Midwifery Scholarship Team Nursing & Midwifery Office Level 3, Building 6 Canberra Hospital PO Box 11 Woden ACT 2606

Contact: ACT Health Nursing & Midwifery Scholarship Team Nursing & Midwifery Office Level 3, Building 6 Canberra Hospital PO Box 11 Woden ACT 2606 ACT Health Nursing & Midwifery Post Graduate Scholarship Scheme Guidelines & Information: 2016 Contact: ACT Health Nursing & Midwifery Scholarship Team Nursing & Midwifery Office Level 3, Building 6 Canberra

More information

Requirements for Certification as an. IRCA Auditor (All Schemes)

Requirements for Certification as an. IRCA Auditor (All Schemes) Requirements for Certification as an IRCA Auditor (All Schemes) Requirements for Certification as an IRCA Auditor (All Schemes) Contents Note: This contents is hot-linked. Click on a section to be taken

More information

Completion Certificate Application Form (New Zealand Degree Holders Only) [Effective 15 March 2016]

Completion Certificate Application Form (New Zealand Degree Holders Only) [Effective 15 March 2016] PERSONAL DETAILS [Please Print] Full Legal Name* Completion Certificate Application Form (New Zealand Degree Holders Only) [Effective 15 March 2016] Surname First Name Middle Name(s) Name Used Surname

More information

Form 47 Application for trainer approval in Responsible management of licensed venues course

Form 47 Application for trainer approval in Responsible management of licensed venues course Form 47 Application for trainer approval in Responsible management of licensed venues course Liquor Act 1992 s. 142B V2 Aug 2013 Office use only Receipt no.... Amount $... Date... Instructions Please complete

More information

Application Form: Leader, Great Teaching Program

Application Form: Leader, Great Teaching Program Application Form: Leader, Great Teaching Program Who we are We believe in an Australia where a child s prospects are not determined by their ethnicity, location or socio-economic status. Good to Great

More information

ACCREDITATION PROCESS FOR ROADWORKS TRAFFIC MANAGERS MAIN ROADS WESTERN AUSTRALIA

ACCREDITATION PROCESS FOR ROADWORKS TRAFFIC MANAGERS MAIN ROADS WESTERN AUSTRALIA ACCREDITATION PROCESS FOR ROADWORKS TRAFFIC MANAGERS MAIN ROADS WESTERN AUSTRALIA 1. INTRODUCTION The Main Roads Western Australia Traffic Management for Works on Roads Code of Practice (the code) requires

More information

TRADE UNIONS ACT (CHAPTER 333, SECTION 55) TRADE UNIONS REGULATIONS

TRADE UNIONS ACT (CHAPTER 333, SECTION 55) TRADE UNIONS REGULATIONS TRADE UNIONS ACT (CHAPTER 333, SECTION 55) TRADE UNIONS REGULATIONS Arrangement of Provisions 1 Citation. 1A Definition 2 Register. 3 Application for registration. 4 Manner of registration. 5 Certificate

More information

Application for Accreditation by Testing

Application for Accreditation by Testing Application for Accreditation by Testing OFFICE USE ONLY AUS NZ OS Please use blue or black ball point pen to complete this form. Please print in BLOCK LETTERS. NAATI Number: (if known) Part 1 Please provide

More information

Rule 1 The President and the Vice Presidents

Rule 1 The President and the Vice Presidents Rules of Procedure 10 SECTION I A. Officers of the Conference Rule 1 The President and the Vice Presidents R 1.1 R 1.2 A President and two (2) Vice Presidents shall be elected by the Conference annually

More information

Applicants normally will have obtained their primary qualification not more than 10 years previously.

Applicants normally will have obtained their primary qualification not more than 10 years previously. POPULATION HEALTH MEDICAL POST GRADUATE SCHOLARSHIP CONDITIONS OF AWARD Established in 1989, the WCH Foundation is a not for profit organisation governed by a Committee of Trustees and incorporated under

More information

PROCESS SERVERS Section 22350 Business & Professions Code

PROCESS SERVERS Section 22350 Business & Professions Code PROCESS SERVERS Section 22350 Business & Professions Code NECESSITY OF FILING REGISTRATION CERTIFICATE Section 22350 a) Any natural person who makes more than 10 services of process within this county

More information

High Peak CVS Disciplinary Policy and Procedure

High Peak CVS Disciplinary Policy and Procedure High Peak CVS Disciplinary Policy and Procedure The effectiveness and credibility of HIGH PEAK CVS and its employees is dependent to a large extent on the ability to achieve and preserve high standards

More information

WHOLE BALANCE TRANSFER TO A KIWISAVER SCHEME

WHOLE BALANCE TRANSFER TO A KIWISAVER SCHEME WHOLE BALANCE TRANSFER TO A KIWISAVER SCHEME Issued 1 November 2014 Please use this form to transfer your whole superannuation balance to a KiwiSaver scheme. Transferring only part of your superannuation

More information

2016 Application & Registration Form ARF

2016 Application & Registration Form ARF ABN 82 055 042 852 Training Assessment 2016 Application & Registration Form ARF This form applies to medical practitioners who will be training in Australia and New Zealand. You can apply or register at

More information

E-mail. Specialty (if any)

E-mail. Specialty (if any) Application for Dental Membership South Africa Please complete all sections of the form and return to Dental Protection Ltd, c/o SADA, Private Bag 1, Houghton 2041, South Africa. Subscriptions are payable

More information

THE EUROPEAN PRESSURE EQUIPMENT DIRECTIVE (PED)

THE EUROPEAN PRESSURE EQUIPMENT DIRECTIVE (PED) Certification Services Division Newton Building, St. George s Avenue Northampton, NN2 6JB United Kingdom Tel : +44(0)1604-893-811. Fax : +44(0)1604-893-868. E-mail: pcn@bindt.org THE EUROPEAN PRESSURE

More information

Generic Rules For Colleges. Post 2015 AGM

Generic Rules For Colleges. Post 2015 AGM Generic Rules For Colleges Post 2015 AGM GENERIC RULES TABLE OF CONTENTS Page No 1. PRELIMINARY... 1 2. ROLE... 3 3. PURPOSE AND OBJECTS... 3 4. PROCEDURES FOR FORMATION... 3 5. CRITERIA FOR FORMATION...

More information

London Campus Undergraduate Application Form Instructions for Applicants

London Campus Undergraduate Application Form Instructions for Applicants London Campus Undergraduate Application Form Instructions for Applicants Thank you for your interest in London School of Business & Finance. We look forward to welcoming you onto one of our Undergraduate

More information

Please indicate the register in which you wish to be included: First name(s) Surname Title. Country (if not UK)

Please indicate the register in which you wish to be included: First name(s) Surname Title. Country (if not UK) Office use only Date Received App No No Allocated Approved Comments General Optical Council Application for registration 2014-15 (individual) Section 1 Application for registration Please indicate the

More information

Application Form Postgraduate Programmes

Application Form Postgraduate Programmes London School of Business & Finance London Campus Application Form Postgraduate Programmes 1 LSBF Postgraduate Programmes Instructions for Applicants Thank you for choosing to study with London School

More information

Code of Conduct for registered migration agents

Code of Conduct for registered migration agents Code of Conduct for registered migration agents Current from 1 JULY 2012 SCHEDULE 2: CODE OF CONDUCT (regulation 8) Migration Act 1958, subsection 314(1) THIS CODE OF CONDUCT SHOULD BE DISPLAYED PROMINENTLY

More information

Diners Club Corporate Travel System Terms and Conditions

Diners Club Corporate Travel System Terms and Conditions Diners Club Corporate Travel System Terms and Conditions Contents 1 Definitions 4 2 Accepting these Terms and Conditions 7 3 Authorised Users and Authorised Cardholders 7 4 Authorised Travel Agents 7

More information

GENERAL BASIC PROVISIONS

GENERAL BASIC PROVISIONS GENERAL 1. These Rules govern, and accredited Registries. 2. In these rules, wherever the context so requires, the masculine shall include the feminine and the singular shall include the plural. REGISTRY

More information

Revision Approved: April 11, 2015. Bylaws of the American Board of Forensic Psychology

Revision Approved: April 11, 2015. Bylaws of the American Board of Forensic Psychology Revision Approved: April 11, 2015 Bylaws of the American Board of Forensic Psychology Table of Contents Article I Mission Section 1.1 Statement of Mission Section 1.2 Review of Mission Article II Relationship

More information

ROYAL HOLLOWAY University of London. DISCIPLINARY POLICY AND PROCEDURE (for all staff other than academic teaching staff)

ROYAL HOLLOWAY University of London. DISCIPLINARY POLICY AND PROCEDURE (for all staff other than academic teaching staff) APPROVED BY COUNCIL September 2002 ROYAL HOLLOWAY University of London DISCIPLINARY POLICY AND PROCEDURE (for all staff other than academic teaching staff) Disciplinary Policy and Procedure September 2002

More information

PLUMBING INDUSTRY LICENSING SCHEME (SCOTLAND AND NORTHERN IRELAND) DUTIES OF A LICENSED BUSINESS

PLUMBING INDUSTRY LICENSING SCHEME (SCOTLAND AND NORTHERN IRELAND) DUTIES OF A LICENSED BUSINESS PLUMBING INDUSTRY LICENSING SCHEME (SCOTLAND AND NORTHERN IRELAND) DUTIES OF A LICENSED BUSINESS January 2010 INTRODUCTION This document has been prepared to provide Licensed Business with a guide to their

More information

SELECTION PANEL PROCEDURES FOR SCHOOL TEACHERS 2013

SELECTION PANEL PROCEDURES FOR SCHOOL TEACHERS 2013 SELECTION PANEL PROCEDURES FOR SCHOOL TEACHERS 2013 Selection Panel Procedures for School Teachers 2013, which is located on the Department s website at http://www.teach.nsw.edu.au/documents/sel_panelproc.pdf,

More information

HBF ANCILLARY PROVIDER REQUIREMENTS

HBF ANCILLARY PROVIDER REQUIREMENTS HBF ANCILLARY PROVIDER REQUIREMENTS CONTENTS 1. Registration and Provider Numbers 1.1. Your Provider Number(s) 2 1.2. Eligibility for Registration with HBF 2 1.3. Processing Time for Registration 2 1.4.

More information

PERSONAL DETAILS BASIS FOR APPLICATION

PERSONAL DETAILS BASIS FOR APPLICATION APPLICATION FM (for transitional arrangements only) APS SUPERVISED PRACTICE ASSOCIATE MEMBER - MASTERS ROUTE APS COLLEGES PERSONAL DETAILS Dr c Mr c Mrs c Ms c Miss c Other c Family name: Former name (if

More information

Risk and Insurance Management Society, Inc. Chesapeake Chapter. Chapter Constitution and Bylaws TITLES

Risk and Insurance Management Society, Inc. Chesapeake Chapter. Chapter Constitution and Bylaws TITLES Risk and Insurance Management Society, Inc. Chesapeake Chapter (RIMS) Chapter Constitution and Bylaws TITLES ARTICLE I Name 2 ARTICLE II Objectives and Powers 2 ARTICLE III Membership 2 ARTICLE IV Dues

More information